MEDICARE: WILLIAM C SIM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1184431181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM C SIM MD

Provider Business Mailing Address
First Line	:	3111 SANTA ROSA PL
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92835-1522
Country	:	US
Telephone Number	:	562-237-8761
Fax Number	:

Provider Business Practice Location Address
First Line	:	3111 SANTA ROSA PL
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92835-1522
Country	:	US
Telephone Number	:	562-237-8761
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM C SIM
Credential	:	MD
Telephone Number	:	562-237-8761

Provider Enumeration Date	:	12/12/2024
Last Update Date	:	12/12/2024

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